Morgan, Loretta Cemetery Call Work Sheet
Date: I / 11 / a-°I3
Funeral Home/ Monument Company: O/J i e FA"zit-di
11-1
Contact Name: La'Q"Q' Tel. #: #: 13F- 6 S-2
Reason for call: l' Staking Request (Interment/Disinterment)
Affidavit (Burial Rights)
Monument (Marker) being placed (No fee for staking of monument)
For:
Block Lot Space
Date: / / Time:
(Send email to P&R)
Verifying Burial space
Other reason:
Interment: (One full burial and one urn, or two urns per space)
Full Burial ✓ Urn Space
Owner of Plot: Lore` ".. I`tor�ar._
ptAhAzi-
Deceased Name: Lorc-a R°r� #,`fa g
Block It, Lot a7 Space 1.
Date of Birth: 1° 3 / 3 '7 Date of Death 1 / / 13 //i//3
e�, Q (
Date of Burial: 1 / 2-t / ao 13 Time: 1/.QO 'ppm . fe4 rei
$30.00 Staking Fee (Funeral Home) — received on: I / / ao 13 Y/ 4/43
Copy of permit emailed to Marco Ortega, cc: Mark Tokar/P&R on: I / 1 /,g° 13
**************************************************************************************************
Disinterment:
The following authorization should be obtained prior to disinterment:
1.) A disinterment permit and burial/cremation transit permit
2.) Written authorization from the individual(s) who currently own the burial rights
for the plot; and
3.) Written authorization from the individual(s) who would be permitted to authorize burial
Revised 10/31/12
Status of Block: 16 Lot: 27 as of 01/11/2013
II
INTERMENTS:
SPACE BURIALTYPE DECL DECF DECM BIRTH DEATH INTERRED PERMIT
2 FULL MORGAN ANTHONY E 3/6/1965 03/24/1996 3/27/1996 2253
4 FULL GLAZE LORENE 8/14/1931 10/27/1995 11/4/1995 2233
DISINTERMENTS FROM SPACE:
No Matching Records
REINTERMENTS:
No Matching Records
Page 1 of 1
LaCosse, Judith
From: LaCosse, Judith
Sent: Monday, January 14, 2013 11:57 AM
To: Ortega, Marco
Cc: Tokar, Mark; Wells, Alexis; Gilmore, Stephanie;Vaughan, Karen
Subject: RE: Cemetery Staking Request- Full burial
Thank You. We will notify the funeral home.
From: Ortega, Marco
Sent: Monday, January 14, 2013 11:47 AM
To: LaCosse, Judith
Cc: Ortega, Marco; Tokar, Mark; Wells, Alexis; Gilmore, Stephanie; Vaughan, Karen
Subject: Re: Cemetery Staking Request - Full burial
Marked in yellow flags
On Jan 11, 2013, at 12:27 PM, "LaCosse,Judith" <Judith.LaCosse@myClearwater.com>wrote:
Marco,
We received a call this morning from Eddie of Dobbies Funeral Home requesting a staking for a Full
burial for:
Loretta Morgan in Block 16, Lot 27,Space 1—DOB—10/28/37—DOD—1/18/13
** (See attached status sheet regarding burials in this block and lot) **
Staking is needed by Monday.January 21st at around 11:00 a.m.
Please advise me of the color of the flags being used so that we could notify the funeral home.
Thanks for your help.
Judith LaCosse
Staff Assistant
Official Records and
Legislative Services Dept.
727-562-4093
<Status of Block 16 Lot 27.pdf5
1
January 14, 2013
Attn: Eddie/ Dobbies Funeral Home
Fax: 727-938-6579
(This fax includes a copy of Cemetery Map)
#in the circle is the Block,#in the square is the Lot
Deceased: Loretta Morgan
Gravesite: Block 16, Lot 27, Space 1
Full Space
Gravesite flagged with Yellow flags.
Nearby Burials:
Space 2 = Anthony E Morgan— (full)
Space 4 = Lorene Glaze—(full)
Staking Fee: $30.00
Please make check payable to: City of Clearwater
Mail to: City of Clearwater
Official Records Dept. — 2"d Floor
112 S. Osceola Ave.
Clearwater, FL 33756
Please contact me with any questions.
Thank you,
Judith LaCosse
Official Records & Legislative Services
City of Clearwater
727-562-4093
2221 ,
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BURIAL PERMIT
CLEARWATER CARETAKER PERMIT# 1428
CLEARWATER,FL January 18, 2013
Permission is hereby granted for burial of:
Name of Deceased: LORETTA MORGAN Burial Type: FULL
Owner of Property: LORETTA MORGAN&
Block: 16 Lot: 27 Space: 1 Date of Birth: October 28, 1937
Date of Death: January 8,2013 Date of Burial: January 21, 2013
Funeral Home Director: EDDIE-DOBIES FH
Time: 11 :00 Staking Fee: 30.00 Date Paid: January 18, 2013
Clearwater Cemetery
By 9--446(1-4.--k- e-